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Illinois rates for HCPCS J0558

Injection, penicillin G benzathine and penicillin G procaine, 100,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $31.62 / $61.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $19.52 / $22.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.82 / $62.17 / $280.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $22.79 / $45.12
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.38 / $25.38 / $25.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $21.89